The Perioperative Quality Improvement Programme (PQIP) is introducing the innovative pomVLAD dashboard, which includes easy-to-interpret displays representing 10 PQIP-recommended enhanced-recovery (ER) processes. This valuable tool focuses quality improvement (QI) efforts on specific pre-, intra-, and postoperative ER measures.
A key indicator displayed on the dashboard is the proportion of patients DrEaMing (Drinking, Eating, and Mobilising) by postoperative day 1. DrEaMing has been associated with reduced hospital length of stay and fewer later complications. Patients who had nasogastric tubes or abdominal drains in recovery, those with epidurals inserted for surgery, or those experiencing moderate or severe pain in recovery are less likely to DrEaM postoperatively.
The pomVLAD charts are now available for all PQIP sites recruiting colorectal patients. Local investigators who participated in the pilot study found the dashboard intuitive and helpful for identifying and monitoring QI projects. To maximise the benefits of pomVLAD or the new dashboards for non-colorectal surgery, it is crucial for your hospital’s PQIP team to recruit as many patients as possible and enter the data as close to the time of surgery as possible.
Focusing recruitment efforts on a single specialty or a small number of specialties may yield the greatest rewards for your team and patients. Sustainable QI depends on positive, multidisciplinary collaboration. We encourage you to share your pomVLAD dashboard with your colorectal perioperative team to engage them and concentrate your combined QI efforts. Embracing pomVLAD as a tool for continuous improvement will ultimately lead to better patient outcomes and a more efficient healthcare system.